Canine Adoption Agreement Canine Adoption Agreement Adopter Information Name * Name First First Last Last Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email * Home Phone * Cell Phone * Pet Information Pet's Name(s) * Breed(s) * Color(s) * Approximate DOB(s) * Sex(s) * Microchip Number(s) Adopter Acknowledgment of Terms By checking boxes below, I, the adopter(s), acknowledge receipt of the above described animal(s) and therefore agree to the following terms and conditions: 1 * I, the adopter, agree to have this pet(s) examined by a licensed veterinarian at least once each year and it will receive adequate vaccinations and treatments to ensure good health. 2 * If unaltered at adoption time, I, the adopter, agree to have the animal spayed/neutered on or before the age of 12 months at CVH. CVH agrees to pay for the cost of the sterilization (provided adopter uses one of CVH’s veterinarians). 3 * I, the adopter, agree that the pet(s) will be treated as a family member with loving care, affection and respect. I, the adopter the pet will not be allowed to roam at will. The pet may be leash-walked, but the pet(s) is to wear a collar or harness with an identifidogion tag in the unlikely event he becomes lost. 4 * Unless directed by a licensed veterinarian for reasons related to the health and welfare of the dog, I, the adopter, agree that I will NOT have the dog debarked. I, the adopter, agree to provide the pet(s) with a good and safe home with proper care and attention, which includes a healthy diet, fresh water and shelter at all times. I, the adopter, understand that pet(s)s can live very long lives and have made or will make the appropriate arrangements should my pet(s)s out live myself or I can no longer care for the pet(s). 5 * In the event CVH discovers the inhumane treatment of this pet(s) or breach of this Agreement, it is agreed CVH has the right to immediately take possession of the pet(s) without notice to I, the adopter, and law enforcement agencies may be notified. 6 * I, the adopter, agree the pet(s) will not be used for any illegal purpose. If this clause is broken, I, the adopter, understand that the pet(s) may be immediately confiscated by CVH, and law enforcement agencies may be notified. 7 * It is agreed that environmental changes may effect and change the temperament of the above-named pet(s) and that CVH has no liability or responsibility of any nature regarding later “defects” with the pet(s), or injuries or damage to any person or property which may be caused by the pet(s). I, the adopter, agree to indemnify and hold harmless CVH and its members or representatives against any and all claims for any injury or property damage to me, the adopter, or anyone else. I, the adopter, understand that with domesticated pet(s)s that modifying certain behaviors may require training, expert advice and/or patience. I, the adopter, agree to work with the pet(s) to modify any such undesirable behavior without the use of negative reinforcement or other methods which may cause harm to the pet(s). I, the adopter, understand that certain behaviors may never be entirely eradicated. 8 * In the event it is determined by either a CVH representative or I, the adopter, that the pet(s) should not remain with I, the adopter, it is agreed the pet(s) shall be returned to CVH by myself, the adopter. I, the adopter, am to pay any and all return transportation cost, if applicable. The pet(s) may not be transferred to another owner; the pet(s) may not be sold, given away or placed in another home or organization, without express written consent of CVH. 9 * If euthanasia becomes necessary, it is agreed the pet(s) will not be turned over to a humane society or animal shelter for this service. CVH is available for consultation, advice, and assistance in this and all other areas pertaining to the health, training, compatibility, etc. of the adopted pet(s). 10 * Return Policy: If I, the adopter, decide not to keep the pet(s), I, the adopter, hereby agree to return the pet(s) to CVH. Importantly, I, the adopter, agree to give CVH up to two weeks to secure a proper foster home or facility to board the pet(s), and I, the adopter, will provide safe and loving care of the pet(s) until it is returned to CVH. I, the adopter, agree to safely transport or provide safe transport of the pet(s) to the determined home or facility, and will return any/all paperwork and supplies provided by CVH at that time. 11 * I, the adopter, agree to notify CVH if I, the adopter, has a change of telephone number or address. I, the adopter, agree to notify CVH of any incident involving animal control and/or complaints arising from said ownership of the pet(s). If the pet(s) becomes lost or stolen, I, the adopter, agree to notify CVH immediately. 12 * It is agreed and understood by I, the adopter, and CVH that this Agreement sets forth all promises, agreements, conditions, and understandings between them, oral or written and that both parties have fully read and understand the entire Agreement. 13 * This Agreement shall be to the benefit of and be binding upon I, the adopter, and CVH and their successors or beneficiaries. By signing below, you certify that you understand the information in this agreement and any questions/concerns have been addressed to your satisfaction. Signature * signature keyboard Clear Date * Captcha Submit If you are human, leave this field blank.